Nova Training Center
NPI 1144711615ActiveOrganization· Clinic/Center· Annandale, VA
Clinic/Center in Annandale, Virginia, registered in NPPES in May 2018. The authorized official on file is Soongil Shannen Park, President.
Overview
| NPI | 1144711615 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2018 |
| Last updated in NPPES | May 21, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Clinic/Center providers in Annandale
- 1649069873
- 1588430946
- 1144879206
- 1821278052
- 1053612838